Pregnancy questionnaire

Discovering you are pregnant when you do not want to be can be stressful and confusing. This short questionnaire can help you think through your options.

1
Is your period late / have you missed your period?

2
Have you taken a pregnancy test?

3
Do you know how many weeks pregnant you are?

4
What you want to do with your pregnancy?

It's best if you can decide as soon as possible.

5
Is the time between today and the first day of your last menstrual period under 9 weeks?

6
Do you have an IUD (Intrauterine device) in place?

7
Do you have any of the following diseases?

An allergy to misoprostol or mifepristone or another prostaglandin

Chronic adrenal failure

Haemorrhagic disorder (bleeding disease)

Inherited porphyrias

Heart disease

High blood pressure

You are approximately 0 weeks pregnant.

Medical abortion is suitable for women who are between 4 and 9 weeks pregnant.

×

If you've very recently had your period, there is no reason to think you're pregnant.

×

Visit your doctor to discuss your pregnancy. You will need to decide whether you want to want to keep the child or consider adoption or fostering.

×

If you are over 9 weeks pregnant you should consult your doctor for options or alternatively call a Marie Stopes call centre. According to the laws in your country and depending on how many weeks pregnant you are, you may be able to consider a surgical abortion.

×

You should visit your doctor or midwife to have it removed before using medical abortion.

×

Consult with your doctor about your options.

×

You are eligible to use medical abortion.

If the answers you provided are accurate, you are eligible to use this for a medical abortion.

×

Questionnaire completed.

Not sure how many weeks pregnant you are?

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Mariprist is for use only in accordance with the laws of the country of sale. Always check with a healthcare professional if you have any concerns about your condition or treatment.